LASSO Summer Camp 2014 - Baltimore

1. Student Information

 
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Please enter your name and address
Which grade are you finishing right now?
What is your gender?
Did you qualify for free or reduced lunch last school year?
Which race/ethnicity best describes you? (Please choose only one.)
What's the best way to contact you about program updates? Please provide:
Please give the name, address, email and cell phone of your parents or guardian.
With whom do you reside?
What is the primary language you speak at home?
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